Sixteen Yorkshire gilts were assigned randomly to four semi-purified diets fed throughout gestation and lactation. Two sources of fat (stripped lard and stripped corn oil) were fed factorially with two levels of vitamin E (atocopheryl acetate, 0 and 100 IU/kg of diet). All diets were supplemented with .05 ppm Se as Na2SeO3. Reproductive performance (litter size, individual pig birth weight, weaning weight and livability) was not affected by diet. No signs of selenium-vitamin E deficiency were noted in either dams or progeny. Serum atocoperhol concentration of darns was significantly reduced with low vitamin E diets and was higher in diets containing lard plus vitamin E than in diets containing corn oil plus vitamin E at 2, 8 and 12 weeks and immediately pre-partum. Concentration of a-tocopherol in colostrum and milk fat was several-fold higher with supplemental dietary vitamin E than without and lard tended to promote a higher concentration than corn oil although the difference was not significant. There was a pronounced decrease in c~-tocopherol concentration in all diet groups in colostrum compared with milk at 3 weeks lactation. Diet did not affect colostral or milk cholesterol concentration or dam or newborn progeny serum cholesterol levels. Progeny of sows in all diet groups had significantly higher serum 0~-tocopherol concentrations than those of their dams (P<.

In this article, we develop a non-rights-based argument based on beneficence (i.e., the welfare of individuals and communities) and justice as the disposition to act justly to promote equity in health care resource allocation. To this end, we structured our analysis according to the following main sections. The first section examines the work of Amartya Sen and his equality of capabilities approach and outlines a framework of health care as a fundamental human need. In the subsequent section, we provide a definition of health equity based on the moral imperative to guarantee that every individual ought to have the freedom to pursue health goals and well-being. In the later part of the article, we outline a non-right approach to health care based on three pillars: (1) human flourishing, (2) justice as a disposition not a process, and (3) solidarity.

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EXECUTIVE SUMMARY More than 600 Catholic hospitals operating in the United States face pressures for efficiency and effectiveness as well as compliance with demands of the Roman Catholic Church. They have responded to the pressures in various ways that have led to mixed models of organizational ownership and management. The purpose of this study was to describe and analyze the status of Catholic hospital ownership and management, especially the strategic and structural features of the parent health systems. Longitudinal data (2008–2017) were acquired and analyzed using repeated-measures analysis. Descriptive statistics were prepared using cross-sectional matched pairing for 2008 and 2017 data. Of 4,253 hospitals studied, 534 changed ownership or management. More Catholic Church-operated hospitals, regardless of type of ownership (for-profit, not-for-profit, church), became decentralized to a greater degree over the 8-year period and took on more attributes of non-Catholic hospitals. The 21st century Catholic hospital is more likely to be partnered with a non-Catholic hospital or to be owned by a for-profit system than to be solely partnered with or operated by another Catholic system. Today’s Catholic hospitals appear to be more similar to their non-Catholic counterparts. With the trend toward larger systems that comprise more diverse partners, an increase in lay oversight could lead to further movement away from Catholic identity and the original mission of a hospital. As systems grow in size but shrink in number, administrators must make difficult decisions about the type and scope of services offered as well as the partners they need to deliver their services.